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Individual

ROSELYNE A OGOLA-MWANGALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
5608 17TH AVE NW STE 1527, SEATTLE, WA 98107-5232
(206) 612-1216
Mailing address
24463 W 10 MILE RD, SOUTHFIELD, MI 48033-2931
(248) 829-9692

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
4704296484
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
4704296484
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61285822
WA

Other

Enumeration date
05/18/2015
Last updated
09/21/2022
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